Language
English (UK)
Yvette Knight Masterclass
Sunday 28th May 2023 at Elmhurst Ballet School (Birmingham).
Student Information
Student Name
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First Name
Last Name
Date of Birth
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Current Age
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Email Address (Parent/Guardian or 18+ Student)
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Mobile Number (Parent/Guardian or 18+ Student)
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Home Telephone Number
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Ballet Information
Last Exam Taken
Date Taken
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Day
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Month
Year
Date
Result of Exam
Syllabus (e.g RAD/IDTA)
Do you study Pointe?
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Yes
No
If yes, how long for?
How many hours do you dance per week (approx)?
Dance School
Name of Dance School
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Name of Principle
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All students must have full permission and support from their Dance Teacher to take part in Midland Theatre Ballet's programmes. Please do not complete this form unless you have spoken to your Dance Teacher.
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I confirm that I have full permission and support from my Dance Teacher to apply for this programme.
Programme Information
I understand and agree that MTB photographers may take photos of students during rehearsals and auditions and MTB may use them for promotion purposes online.
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Yes, I acknowledge, agree and understand this.
Can your child leave the studios unaccompanied after the audition?
*
Yes, I give my permission.
No, I do not give my permission.
Medical Information
Is there any medical information/allergies that we need to know about?
If an emergency occurs I/we give permission for a Midland Theatre Ballet representative to take the applicant to hospital
*
Yes, I give my permission.
Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
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2nd Emergency Contact Name
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First Name
Last Name
2nd Emergency Contact Phone Number
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I have read, understood, and accepted the privacy policy for MTB.
Parent Signature / or Student 18+ Signature
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£30 Masterclass Fee
Non-refundable.
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